Mr Robert Lee Dougherty, PA-C is a
Physician Assistant - Medical based in Casey, Illinois. Mr Robert Lee Dougherty is licensed to practice in Illinois (license number 085000498) and his current practice location is
412 Nw 3rd St, Casey, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 932-4061.
NPI number for Mr Robert Lee Dougherty is 1891787529 and his current mailing address is 4114 E Us 40, Casey, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891787529.
Provider's Profile
Full Name | Mr Robert Lee Dougherty |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 412 Nw 3rd St, Casey, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891787529
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Robert Lee Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891787529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 085000498 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Lee Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Robert Lee Dougherty, PA-C 4114 E Us 40, Casey, IL 62420-3113 Ph: (217) 382-4754 | Mr Robert Lee Dougherty, PA-C 412 Nw 3rd St, Casey, IL 62420-1014 Ph: (217) 932-4061 |
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